Meta-Analysis: The Use of Mindfulness-Based Cognitive Therapy for Depression Symptoms
Abstract
This meta-analysis investigates the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in addressing depression across diverse contexts. Drawing from 13 studies, it examines the impact of MBCT on depressive symptoms using various measurement tools such as the Depression Anxiety and Stress Scale (DASS) and Beck-Depression Inventory (BDI). The findings underscore the importance of tailoring intervention materials to participant characteristics and completing the full MBCT program for significant outcomes. Additionally, components of MBCT, such as mindful awareness and cognitive restructuring, emerge as key factors in reducing depressive symptoms. Moderator analysis reveals no significant difference between in-person and internet-based MBCT delivery, highlighting the importance of consistent participation and mindfulness practice for successful outcomes.
Downloads
References
Alsubaie, M., Dickens, C., Dunn, B. D., Gibson, A., Ukoumunne, O. C., Evans, A., . . . Kuyken, W. (2020). Feasibility and Acceptability of Mindfulness-based Cognitive Therapy Compared with Mindfulness-based Stress Reduction and Treatment as Usual in People with Depression and Cardiovascular Disorders: a Three-Arm Randomised Controlled Trial. Mindfulness. https://doi.org/10.1007/s12671-018-0999-8
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders : DSM-5. New York. https://www.psychiatry.org/psychiatrists/practice/dsm
Asmundson, G. J., & Taylor, S. (2020). Coronaphobia: Fear and the 2019-nCoV outbreak. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2020.102196
Chan, S. H., Chan, W. W., Chao, J. Y., & Chan, P. K. (2020). A randomized controlled trial on the comparative effectiveness of mindfulness-based cognitive therapy and health qigong-based cognitive therapy amongChinese people with depression and anxiety disorders. BMC Psychiatry. https://doi.org/10.1186/s12888-020-02994-2
Chayadi, E., Baes, N., & Kiropoulos, L. (2022). The effects of mindfulness-based interventions on symptoms of depression, anxiety, and cancer-related fatigue in oncology patients: A systematic review and meta-analysis. PLoS One. https://doi.org/10.1371/journal.pone.0269519
Cladder-Micus, M. B., Becker, E. S., Spijker, J., Speckens, A. E., & Vrijsen, J. N. (2019). Effects of Mindfulness-Based Cognitive Therapy on a Behavioural Measure of Rumination in Patients with Chronic, Treatment-Resistant Depression. Cognitive Therapy and Research. https://doi.org/10.1007/s10608-019-09997-8
Cladder-Micus, M. B., Speckens, A. E., Vrijsen, J. N., Donders, A. R., Becker, E. S., & Spijker, J. (2018). Mindfulness-based cognitive therapy for patients with chronic, treatment-resistant depression: A pragmatic randomized controlled trial. Depress Anxiety. https://doi.org/10.1002/da.22788
Doblyte, S., & Mejías, J. E. (2017). Understanding Help-Seeking Behavior in Depression: A Qualitative Synthesis of Patients' Experiences. Qual Health Res. https://doi.org/10.1177/1049732316681282
Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M., & Galea, S. (2020). Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Network. https://doi.org/10.1001/jamanetworkopen.2020.19686
Ewais, T., Begun, J., Kenny, M., Hay, K., Houldin, E., Chuang, K.-H., . . . Kisely, S. (2021). Mindfulness based cognitive therapy for youth with inflammatory bowel disease and depression - Findings from a pilot randomised controlled trial. J Psychosom Res. https://doi.org/10.1016/j.jpsychores.2021.110594
Foroughi, A., Sadeghi, K., Parvizifard, A., Moghadam, A. P., Davarinejad, O., Varnia, F., & Azhar, G. (2019). The effectiveness of mindfulness-based cognitive therapy for reducing rumination and improving mindfulness and self compassion in patients with treatment-resistant depression. Trends in Psychiaty and Psychotherapy. https://doi.org/10.1590/2237-6089-2019-0016
Frostadottir, A. D., & Dorjee, D. (2019). Effects of Mindfulness Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) on Symptom Change, Mindfulness, Compassion, and Rumination in Clients, With Depression, Anxiety, and Stress. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2019.01099
Ghodspour, Z., Najafi, M., & Boogar, I. R. (2018). Effectiveness of Mindfulness-Based Cognitive Therapy on Psychological Aspects of Quality of Life, Depression, Anxiety, and Stress Among Patients With Multiple Sclerosis. Practice in Clinical Psycholog. https://doi.org/10.32598/jpcp.6.4.215
Giordano, C., Ambrosiano, I., Graffeo, M. T., Caro, A. D., & Gullo, S. (2022). The transition to online psychotherapy during the pandemic: a qualitative study on patients’ perspectives. Research in Psychotherapy: Psychopathology. https://doi.org/10.4081/ripppo.2022.638
Hearn, J. H., & Finlay, K. A. (2018). Internet-delivered mindfulness for people with depression and chronic pain following spinal cord injury: a randomized, controlled feasibility trial. Spinal Cord. https://doi.org/10.1038/s41393-018-0090-2
Huijbers, M. J., Crane, R. S., Kuyken, W., Heijke, L., Hout, I. v., Donders, A. R., & Speckens, A. E. (2017). Teacher Competence in Mindfulness-Based Cognitive Therapy for Depression and Its Relation to Treatment Outcome. Mindfulness. https://doi.org/10.1007/s12671-016-0672-z
Huijbers, M. J., Spinhoven, P., Schaik, D. J., Nolen, W. A., & Speckens, A. E. (2016). Patients with a preference for medication do equally well in mindfulness-based cognitive therapy for recurrent depression as those preferring mindfulness. Journal of Affective Disorders. http://dx.doi.org/10.1016/j.jad.2016.01.041
Kementrian Kesehatan RI. (2018). Hasil Utama RISKESDAS. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. Retrieved from https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Khazami, M., & Bozorgi, Z. D. (2021). Effectiveness of the Mindfulness-Based Cognitive Therapy on Depression, Stress, and Anxiety Among COVID-19 Patients. Jundishapur J Health Science. https://doi.org/10.5812/jjhs.117000
MacKenzie, M. B., & Kocovski, N. L. (2016). Mindfulness-based cognitive therapy for depression: trends and developments. Psychology Research and Behavior Management. https://doi.org/10.2147/PRBM.S63949
Mohamed, M., Fine, A., Fotinos, K., Weich, A., Kate, K., Rose, M., . . . Katzman, M. A. (2017). Effects of Group Mindfulness-Based Cognitive Therapy on Depression and Role Impairment in a Comorbid Psychiatric Population. Journal of Psychology & Psychotherapy. https://doi.org/10.4172/2161-0487.1000304
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., . . . Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews. https://doi.org/10.1186/2046-4053-4-1
Nissen, E. R., O'Connor, M., Kaldo, V., Højris, I., Borre, M., Zachariae, R., & Mehlsen, M. (2019). Internet‐delivered mindfulness‐based cognitive therapy foranxiety and depression in cancer survivors: A randomizedcontrolled trial. Psycho-Oncology. https://doi.org/10.1002/pon.5237
Nissen, E. R., Zachariae, R., O'Connor, M., Kaldo, V., Jørgensen, C. R., Hojris, I., . . . Mehlsen, M. (2021). Internet-delivered Mindfulness-Based Cognitive Therapy for anxiety and depression in cancer survivors: Predictors of treatment response. Internet Interventions. https://doi.org/10.1016/j.invent.2021.100365
Sachdeva, D., Kaur, H., & Avasthi, A. (2019). Mindfulness-based cognitive therapy (MBCT) for Depression - Review and Current Trends. Journal of Disability Management and Rehabilitation.
Sokeh, M. Y., Shafiabadi, A., & Farzad, V. (2017). Comparison of the efficacy of acceptance and commitment group therapy (ACT) with mindfulness-based cognitive therapy (MBCT) on hemodialysis patients in terms of anxiety and depression. Journal of Fundamentals of Mental Health. https://doi.org/10.22038/JFMH.2017.9127
Copyright (c) 2024 Made Arisudana, Ananta Yudiarso
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal the right to first publication, with the work simultaneously licensed under the Creative Commons Attribution that allows the sharing of articles published with the acknowledgement of authorship and the initial publication in this magazine.
2) The authors are authorized to make additional contracts separately for distribution of the version of the work published in this journal (for example, publication in an institutional repository or as a chapter of the book), as long as there is recognition of authorship and initial publication in this journal.
3) Authors are authorized and encouraged to publish and distribute their work online (for example, in institutional repositories or on their personal pages) at any time before or during the editorial process, as it increases the impact and reference of the published work.
